Applications and limitations of perfusion-dependent functional brain mapping for neurosurgical guidance
Source: Neurosurgical Focus
2003 Jul;15(1):1-8.
Author: Pouratian N, Sheth S, Bookheimer SY, Martin NA, Toga AW. PubMed ID: 15355004
Abstract:
Perfusion-dependent brain mapping modalities, such as functional magnetic resonance imaging, positron emission
tomography, and optical imaging of intrinsic signals, have become increasingly popular for neurosurgical guidance
because they offer a relatively rapid and noninvasive means of mapping brain function. These modalities are unique
because they rely on perfusion-related signals that are coupled with neuronal activity to map the brain instead of measuring
electrophysiological responses. They consequently present unique challenges to the clinician in terms of understanding
the significance and limitations of the maps they produce. In particular, one must be aware of limitations of
the modalities with respect to spatial specificity, sensitivity, and reliability of these maps and how the presence of intracranial
lesions may further complicate these issues.
The authors review the evolution, interpretation, and limitations of perfusion-based brain mapping techniques, with
special attention to clinical implications of the brain maps.